How much rates vary
Facilitymedian $2,951 · 10th to 90th $851 to $13,804Professionalmedian $245 · 10th to 90th $209 to $6,918
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4,365.16 Median $6,918.31 Typical High $16,595.87 | Facility | None | $4,365.16 | $6,918.31 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $204.17 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $173.78 Typical High $181.97 | Professional | 26 · Professional part | $151.36 | $173.78 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $51.29 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $2,511.89 | Facility | None | $123.03 | $501.19 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $208.93 | $239.88 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $177.83 Typical High $354.81 | Professional | 26 · Professional part | $154.88 | $177.83 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $60.26 | $128.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $245.47 | $10,964.78 | $10,964.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $10,715.19 Typical High $31,622.78 | Facility | None | $5,128.61 | $10,715.19 | $31,622.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $724.44 | Professional | None (both parts) | $208.93 | $245.47 | $724.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $416.87 | Professional | 26 · Professional part | $154.88 | $181.97 | $416.87 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $288.40 | Professional | TC · Technical part | $54.95 | $64.57 | $288.40 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,754.40 | Facility | None | $707.95 | $1,995.26 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $562.34 Typical High $10,715.19 | Professional | None (both parts) | $204.17 | $562.34 | $10,715.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $204.17 Typical High $416.87 | Professional | 26 · Professional part | $138.04 | $204.17 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $147.91 Typical High $10,471.29 | Professional | TC · Technical part | $53.70 | $147.91 | $10,471.29 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $120.23 Typical High $123.03 | Professional | 52 · Reduced service | $102.33 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $47.86 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $47.86 | $48.98 |
Where New Jersey sits
The same service costs 5.9 times more in Louisiana than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 10th of 51
$468
LA $1,288AL $219
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.